Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $511.54 – $511.54 | 5 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $324.65 – $324.65 | 5 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $440.46 – $440.46 | 5 |
| Insitu hybridization auto CPT 88367 | $56.47 | $84.78 | $21.94 – $84.78 | 14 |
| Insitu hybridization manual CPT 88368 | $76.06 | $114.20 | $29.55 – $111.92 | 14 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $67.94 | $102.00 | $26.39 – $99.96 | 14 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $93.49 | $140.37 | $36.32 – $137.57 | 14 |
| Insj biomechanical device CPT 22859 | not published | not published | $284.06 – $284.06 | 5 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $219.66 – $219.66 | 5 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $301.94 – $301.94 | 5 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $839.54 – $839.54 | 5 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $205.88 – $205.88 | 5 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $468.35 – $468.35 | 5 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $120.25 – $120.25 | 5 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $530.53 – $530.53 | 5 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $279.60 – $279.60 | 5 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $453.09 – $453.09 | 5 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $595.98 – $595.98 | 5 |
| Ins picad w subq port 5yr> CPT 36571 | $574.76 | $863.00 | $223.26 – $845.74 | 14 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $386.45 – $386.45 | 5 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $312.73 – $312.73 | 5 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $291.14 – $291.14 | 5 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $195.09 – $195.09 | 5 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $737.27 | $1,107.00 | $286.39 – $1,084.86 | 14 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $417.72 – $417.72 | 5 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $408.43 – $408.43 | 5 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $338.78 – $338.78 | 5 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $854.44 – $854.44 | 5 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $135.14 – $135.14 | 5 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $275.87 – $275.87 | 5 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $445.59 – $445.59 | 5 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $97.91 – $97.91 | 5 |
| Install spinal shunt CPT 63740 | not published | not published | $1,110.78 – $1,110.78 | 5 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $888.62 – $888.62 | 5 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $79.67 – $79.67 | 5 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $71.11 – $71.11 | 5 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $125.21 | $188.00 | $46.31 – $175.42 | 14 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $136.77 – $136.77 | 5 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $249.86 – $249.86 | 5 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $158.83 – $158.83 | 5 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $478.19 | $718.00 | $155.64 – $703.64 | 14 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $300.34 – $300.34 | 5 |
| Inst via cath agent pleurds CPT 32560 | $1,900.10 | $2,853.00 | $225.99 – $1,225.00 | 14 |
| Insulin total CPT 83525 | $68.60 | $103.00 | $4.34 – $8.00 | 14 |
| Ins vag brachytx device CPT 57156 | not published | not published | $118.06 – $118.06 | 5 |
| Intercalary algrft compl CPT 20934 | not published | not published | $606.85 – $606.85 | 5 |
| Interdental fixation CPT 21110 | not published | not published | $379.79 – $379.79 | 5 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $305.89 – $305.89 | 5 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $116.53 – $116.53 | 5 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $202.08 – $202.08 | 5 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,161.19 – $1,161.19 | 5 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $649.81 – $649.81 | 5 |
| Int hrhc lig 1 hroid without img CPT 46945 | $414.92 | $623.00 | $117.91 – $610.54 | 14 |
| Int hrhc lig 2+hroid without img CPT 46946 | $687.32 | $1,032.00 | $266.98 – $1,011.36 | 14 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,922.92 – $1,922.92 | 5 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,750.15 – $3,750.15 | 5 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,500.53 – $2,500.53 | 5 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,953.94 – $3,953.94 | 5 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,927.20 – $1,927.20 | 5 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,143.93 – $3,143.93 | 5 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $41.44 – $41.44 | 5 |
| Intranasal reconstruction CPT 30620 | not published | not published | $434.91 – $434.91 | 5 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $140.39 – $140.39 | 5 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $65.79 – $65.79 | 5 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $444.31 – $444.31 | 5 |
| Intrinsic factor antibody CPT 86340 | $13.32 | $20.00 | $10.83 – $19.60 | 14 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $518.24 – $518.24 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $1,112.06 – $1,112.06 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,174.97 – $5,174.97 | 5 |
| Intro catheter aorta CPT 36200 | not published | not published | $170.89 – $170.89 | 5 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $96.98 – $96.98 | 5 |
| Intro long gi tube CPT 44500 | $44.63 | $67.00 | $17.34 – $65.66 | 14 |
| Intro long gi tube w/mult fluo CPT 74340 | $687.98 | $1,033.00 | $18.89 – $73.00 | 14 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $167.04 – $167.04 | 5 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $1,301.19 – $1,301.19 | 5 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $195.46 – $195.46 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $364.31 | $547.00 | $67.93 – $315.56 | 14 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $210.89 | $316.64 | $0.48 – $45.08 | 14 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $186.70 | $280.33 | $0.17 – $21.56 | 14 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $81.26 | $122.00 | $31.57 – $119.56 | 14 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $114.56 | $172.00 | $44.50 – $168.56 | 14 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $149.19 | $224.00 | $57.95 – $219.52 | 14 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $56.61 | $85.00 | $21.99 – $83.30 | 14 |
| Iron CPT 83540 | $75.26 | $113.00 | $6.47 – $15.86 | 14 |
| Irradiation of blood product each unit reference CPT 86945 | $47.29 | $71.00 | $18.37 – $69.58 | 14 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $198.47 | $298.00 | $77.10 – $292.04 | 12 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $73.91 – $73.91 | 5 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $29.08 – $29.08 | 5 |
| Island pedicle flap graft CPT 15740 | not published | not published | $580.60 – $580.60 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $692.64 | $1,040.00 | $35.63 – $1,002.54 | 14 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $477.53 | $717.00 | $20.61 – $702.66 | 14 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $542.79 | $815.00 | $22.11 – $611.52 | 14 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $692.64 | $1,040.00 | $71.83 – $611.52 | 14 |
| IV inj ra drug dx study CPT 78808 | $445.56 | $669.00 | $36.25 – $459.62 | 14 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $118.77 – $118.77 | 5 |
| Ivp w/nephrotomography CPT 74415 | $2,131.87 | $3,201.00 | $142.46 – $789.88 | 14 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,661.67 | $2,495.00 | $94.30 – $615.44 | 14 |
| Jak2 targeted sequence analysis CPT 81279 | $119.88 | $180.00 | $54.13 – $100.00 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $383.10 – $383.10 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $460.91 – $460.91 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.